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1831618446
JIMMY LEE SHORTERS
BEAUMONT, CA
NPI
1831618446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-09-14
Last Update Date
2022-07-21
Business Address
Mr. JIMMY LEE SHORTERS
14700 MANZANITA RD
BEAUMONT, CA 92223-3026
Phone number: 951-845-3155
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Mailing Address
Mr. JIMMY LEE SHORTERS
14700 MANZANITA RD
BEAUMONT, CA 92223-3026
Phone number: 951-845-3155
Copy
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